Provider Demographics
NPI:1467879395
Name:TINDAL, YOLONDA (MSW, LCSWA)
Entity Type:Individual
Prefix:MS
First Name:YOLONDA
Middle Name:
Last Name:TINDAL
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 W MOREHEAD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5271
Mailing Address - Country:US
Mailing Address - Phone:704-910-1122
Mailing Address - Fax:
Practice Address - Street 1:2301 W MOREHEAD ST
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5271
Practice Address - Country:US
Practice Address - Phone:704-910-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0082061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical